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Almeida, João de Sousa" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Gustavo" "apellidos" => "Lima da Silva" ] 1 => array:2 [ "nombre" => "Nuno" "apellidos" => "Cortez-Dias" ] 2 => array:2 [ "nombre" => "Irina" "apellidos" => "Neves" ] 3 => array:2 [ "nombre" => "Ana G." "apellidos" => "Almeida" ] 4 => array:2 [ "nombre" => "João" "apellidos" => "de Sousa" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204917303859?idApp=UINPBA00004E" "url" => "/21742049/0000003600000012/v1_201712220644/S2174204917303859/v1_201712220644/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "A poor outcome after surgical aortic replacement" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "965" "paginaFinal" => "966" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luís Paiva, Marco Costa, Rogério Teixeira, Lino Gonçalves" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Luís" "apellidos" => "Paiva" "email" => array:1 [ 0 => "luisvpaiva@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Marco" "apellidos" => "Costa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Rogério" "apellidos" => "Teixeira" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Lino" "apellidos" => "Gonçalves" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Universidade de Coimbra, Coimbra, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Desfecho desfavorável após cirurgia de substituição valvular" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1407 "Ancho" => 2500 "Tamanyo" => 286834 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Thoracic computed tomography angiogram, coronal view, showing the pseudoaneurysm and its entry site; (B) sagittal view illustrating a large heterogeneous pericardial fluid collection compressing the great vessels; (C) angiogram of the pseudoaneurysm; (D) closure device inside the pseudoaneurysm and distal disk positioned at the left ventricular wall. Ao: aorta; ICE: intracardiac echocardiography; LV: left ventricle; * pseudoaneurysm/closure device.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Pseudoaneurysm formation after aortic valve and root replacement is a postoperative complication that has traditionally been addressed by surgical means. We describe a case of a large subaortic pseudoaneurysm successfully occluded by transcatheter device closure.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 64-year-old woman with a history of mitral valve repair and ring implantation due to severe valvular regurgitation was referred for surgical aortic valve replacement due to symptomatic severe aortic valve stenosis and dilated aorta. The postoperative period was complicated by refractory shock, and exploratory surgery revealed a cardiac rupture around the aortic valve, followed by annulus repair and implantation of a new bioprosthetic valve. Echocardiography subsequently showed a persistent cardiac communication with to-and-fro flow and a large pericardial effusion. The computed tomography angiogram (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A and B) revealed a large fluid collection compressing the pulmonary artery and left atrium. The case was discussed at a meeting of the multidisciplinary heart team, in which cardiac surgeons discouraged an additional (fourth) surgical attempt.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">A transfemoral approach was used to cannulate the pseudoaneurysm (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>C) and deliver the closure device, an Amplatzer Vascular Plug II™ (St. Jude Medical) (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>D and Videos 1 and 2). At one-year follow-up, imaging confirmed complete cavity closure, device endothelization, and minimal pericardial effusion (Video 3).</p><p id="par0020" class="elsevierStylePara elsevierViewall">Cardiac pseudoaneurysms carry a 30-45% risk of rupture and death within the first year. In high-risk surgical patients transcatheter device closure is a feasible approach to such cardiac defects, and should be increasingly considered as a viable alternative to surgical repair.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-09-29" "fechaAceptado" => "2016-10-18" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0050" class="elsevierStylePara elsevierViewall">The following are the supplementary material to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia><elsevierMultimedia ident="upi0015"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary material" "identificador" => "sec0015" ] ] ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1407 "Ancho" => 2500 "Tamanyo" => 286834 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Thoracic computed tomography angiogram, coronal view, showing the pseudoaneurysm and its entry site; (B) sagittal view illustrating a large heterogeneous pericardial fluid collection compressing the great vessels; (C) angiogram of the pseudoaneurysm; (D) closure device inside the pseudoaneurysm and distal disk positioned at the left ventricular wall. Ao: aorta; ICE: intracardiac echocardiography; LV: left ventricle; * pseudoaneurysm/closure device.</p>" ] ] 1 => array:7 [ "identificador" => "upi0005" "etiqueta" => "Video 1" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 441004 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Angiogram of the left ventricular pseudoaneurysm.</p>" ] ] 2 => array:7 [ "identificador" => "upi0010" "etiqueta" => "Video 2" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc2.mp4" "ficheroTamanyo" => 835701 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc2.m4v" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc2.flv" "poster" => "mmc2.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Left ventriculography after closure device deployment.</p>" ] ] 3 => array:7 [ "identificador" => "upi0015" "etiqueta" => "Video 3" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc3.mp4" "ficheroTamanyo" => 2558706 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc3.flv" "poster" => "mmc3.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc3.m4v" "poster" => "mmc3.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiography assessment at one-year follow-up.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003600000012/v1_201712220644/S2174204917303860/v1_201712220644/en/main.assets" "Apartado" => array:4 [ "identificador" => "9915" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003600000012/v1_201712220644/S2174204917303860/v1_201712220644/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204917303860?idApp=UINPBA00004E" ]
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